| NPI | 1083001598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 8243) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 882) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2023-06-13 |